Evidence map›Paper›PMID 41028170›Full record

ReviewNature reviews. Drug discovery2026

In vivo chimeric antigen receptor (CAR)-T cell therapy.

Adrian Bot, Andrew Scharenberg, Kevin Friedman, Lin Guey, Robert Hofmeister, James I Andorko, Michael Klichinsky, Frank Neumann, Jagesh V Shah, Andrew J Swayer and 5 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Drug discovery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

87 citing papers in PubMed.

  1. Review
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  6. Injectable bioinstructive microfoam for rapid bedside/in vivo programming of CAR-T cells.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
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  7. Article
  8. Review
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  10. Review
  11. Review
  12. Article
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  18. Adoptive cell therapy in lung cancer: progress, challenges, and prospects.Chinese medical journal pulmonary and critical care medicine · 2026
    Review
  19. Article
  20. Review

27 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Adrian BotCapstan Therapeutics, San Diego, CA, USA. abot@capstantx.com.
Andrew ScharenbergUmoja Biopharma, Seattle, WA, USA.
Kevin FriedmanKelonia Therapeutics, Boston, MA, USA.
Lin GueyModerna Inc., Cambridge, MA, USA.
Robert HofmeisterMyeloid Therapeutics, Cambridge, MA, USA.
James I AndorkoInterius BioTherapeutics, Philadelphia, PA, USA.ORCID 0000-0002-5101-9495
Michael KlichinskyCarisma Therapeutics, Philadelphia, PA, USA.ORCID 0000-0001-8935-163X
Frank NeumannOrna Therapeutics, Watertown, MA, USA.
Jagesh V ShahSana Biotechnology, Seattle, WA, USA.
Andrew J SwayerSanofi, Cambridge, MA, USA.
Kyle TrudeauSana Biotechnology, Seattle, WA, USA.
Drew WeissmanPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-1501-6510
Matthias T StephanTranslational Science and Therapeutics Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Christian J BuchholzMolecular Biotechnology and Gene Therapy, Paul-Ehrlich-Institute, Langen, Germany.ORCID 0000-0002-9837-7345
Carl H JunePerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0003-0241-3557

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chimeric antigen receptor (CAR)-T cell therapy has transformed the outcomes of patients with haematological malignancies, yet its use is limited by labour-intensive manufacturing, constrained production capacity and variable clinical performance. In vivo CAR-T cell engineering, in which CAR-T cells are generated directly inside the patient's body, seeks to overcome these challenges by eliminating the need for ex vivo cell processing and complex logistics, as well as improve clinical performance. Recent advances in virology, RNA medicines and nanotechnology have catalysed a radical overhaul of this approach, which uses targeted delivery systems such as lentiviral vectors and lipid nanoparticles to introduce CAR-encoding genetic material into endogenous T cells. Early clinical studies have shown efficient transduction, sustained CAR expression and initial signs of antitumour activity, establishing proof of concept. This Review explores the underlying technologies - including RNA delivered by lipid nanoparticles and engineered viral vectors - and discusses how they are being adapted to develop more broadly applicable, scalable, safe and effective CAR-T cell therapies. By removing the need for ex vivo manipulation and chemotherapeutic conditioning, this strategy could enable the wider application of CAR-T cell therapies not just to blood cancers but to autoimmune diseases for which ex vivo CAR-T cell therapies have shown strong promise, such as systemic lupus erythematosus.

Indexed as

Hematologic NeoplasmsImmunotherapy, AdoptiveReceptors, Chimeric AntigenT-LymphocytesAnimalsGenetic VectorsHumansNanoparticlesReceptors, Chimeric Antigen

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.